Awareness of Death Among Children: Does a Life-Threatening Illness Alter the Process of Discovery?

The authors review studies on death awareness among children who are healthy, chronically ill, and terminally ill. The review suggests that children with life-threatening diseases demonstrate increased understanding of death compared with children who are either healthy or chronically ill. In particular, children with terminal illness, especially during the end stage of their disease, show an advanced understanding of the death concepts of irreversibility and finality. In contrast, healthy and chronically ill children appear to require certain age, cognitive developmental level, or intelligence thresholds to understand these concepts. Possible explanations for the findings in this literature are discussed. The implications of death awareness research for counselors are used as a base for suggesting counseling strategies.     

Perspective-Taking Judgments of Medication Acceptance: Inferences from Relative Importance about the Impact and Combination of Information

Perspective-taking judgments of medication acceptance were studied for hypothetical mental health treatment scenarios. Three types of information were manipulated in all possible subsets: level of trust in the medication prescriber, severity of the hypothetical mental health condition being experienced, and the potential side effects of the medication. Subjects made judgments from four perspectives: self perspective and that of three other hypothetical people who were each said to place the most importance on one of the three cues. The results showed individual differences in self-reports of the relative importance of the cues which, in turn, predicted differences in judgment patterns. Subjects modified their cue use when making judgments from the perspectives of hypothetical others. The interaction patterns and rank orders of the perspective-taking judgments resembled the individual differences in judgments made from subjects’ own perspectives, but the perspective-taking judgments showed extreme effects of the most important cue. There was also some influence of subjects’ own perspectives on their perspective-taking judgments. When only a subset of the three cues was given, the judgment pattern depended on the importance of the cue that was omitted. The relative weight averaging model accounted for the judgments of only a minority of the subjects. Models which propose that subjects infer the value of missing information were also unsuccessful in explaining the data of the majority. Modifications of those models are proposed.     

Suicide: bad act or good intervention

This article develops a different perspective on the ethics of suicide, based on theoretical and clinical grounds. In terms of value theory, applying "good" or "bad" to the suicide act makes no sense. We need to shift our focus from a search for an ethical statement about suicide (e.g., "rational suicide") to the ethical justification for intervention based on the needs and interests of an affirming therapeutic profession. We choose to intervene because of values we hold about well-functioning, existence, potential for human life; and because as emphatic, social beings, we feel for others and are motivated by that feeling. This justification leads us to suggest a situational case-centered ethics for suicide intervention.     

A PSYCHOLOGICAL NEEDS ANALYSIS OF MALE AND FEMALE SEX TRAIT STEREOTYPES IN MALAYSIA

As part of a cross-cultural project, 100 Malaysian university students completed Gough and Heilbrun's (1965) Adjective Check List to assess existing stereotypes of males and females. After the construction of 100 item stereotypes for males and females the data were analyzed in terms of Murray's (1938) personality theory of psychological needs. Analysis revealed that the male “personality” reflected high needs in autonomy, aggression and exhibition, but low needs for deference and nurturance. By contrast, female needs were strong in succorance and abasement but weak in dominance. These results were contrasted with those of 21 other countries and findings discussed in terms of Malaysia's multi-racial composition and influence of traditional customs and religious beliefs.     

Case study: Use of propranolol to reduce aggressive behavior in a woman who is mentally retarded

Although neuroleptic medications are frequently used to treat the aggressive behavior of persons with mental retardation, little empirical support exists for their efficacy. In the case study reported here, the beta-blocker propranolol was used to treat the aggressive behavior of a 23-year-old woman with severe mental retardation. Initiation of treatment was correlated with a dramatic decrease in aggression and a less pronounced improvement in self-injurious behavior (SIB). An increase in resting heart-rate was associated with a significant increase in aggression, and progressive increases in propranolol dosage were correlated with reductions in heart rate and in significant behavioral improvement. Consideration of propranolol as a less intrusive, and possibly more effective, pharmacologic treatment for the aggressive behavior of persons with mental retardation is discussed.     

Psychometric assessment of the processes of change scale for sun protection

The fourteen-factor Processes of Change Scale for Sun Protection assesses behavioral and experiential strategies that underlie the process of sun protection acquisition and maintenance. Variations of this measure have been used effectively in several randomized sun protection trials, both for evaluation and as a basis for intervention. However, there are no published studies, to date, that evaluate the psychometric properties of the scale. The present study evaluated factorial invariance and scale reliability in a national sample (N = 1360) of adults involved in a Transtheoretical model tailored intervention for exercise and sun protection, at baseline. Invariance testing ranged from least to most restrictive: Configural Invariance (constraints only factor structure and zero loadings); Pattern Identity Invariance (equal factor loadings across target groups); and Strong Factorial Invariance (equal factor loadings and measurement errors). Multi-sample structural equation modeling tested the invariance of the measurement model across seven subgroups: age, education, ethnicity, gender, race, skin tone, and Stage of Change for Sun Protection. Strong factorial invariance was found across all subgroups. Internal consistency coefficient Alpha and factor rho reliability, respectively, were .83 and .80 for behavioral processes, .91 and .89 for experiential processes, and .93 and .91 for the global scale. These results provide strong empirical evidence that the scale is consistent, has internal validity and can be used in research interventions with population-based adult samples.